Crit Care Med: Remember to check brain MR after extracorporeal membrane oxygenation in children

The use of extracorporeal membrane oxygenation (ECMO) in pediatric patients has increased significantly over the past 20 years
.

The reported incidence of brain imaging abnormalities in this population ranges from 28% to 52%

The use of extracorporeal membrane oxygenation (ECMO) in pediatric patients has increased significantly over the past 20 years

Abdelaziz Farhat et al published a study in Crit Care Med Crit Care Med to describe routine neuroimaging brain injury in a large single-center neonatal and pediatric cohort supported by extracorporeal membrane oxygenation

This study retrospectively analyzed the occurrence of brain injury by CT and MRI in children with non-cardiac indications
.

Injury-related clinical and laboratory findings were determined

This study retrospectively analyzed the occurrence of brain injury by CT and MRI in children with non-cardiac indications

Of the 132 patients, 98 (74%) had radiographic evidence of brain injury

A, Shows the distribution of imaging findings among the patients in this study
.

B and C, respectively, show the distribution of the main types in the retrospective images and the significance of the injury

A, Shows the distribution of imaging findings among the patients in this study

Head ultrasound and clinician suspicion were poor in suspected injury

Of the 104 respondents who underwent neurodevelopmental assessment, 61 (59%) had normal scores; 12.

Neuroimaging scores (greater than 10 points) were associated with unfavorable outcomes for the pediatric brain performance category (odds ratio, 3.

Ischemic injury is associated with poorer neurodevelopmental outcomes

Pre-extracorporeal membrane oxygenation lactate, vasoactivity -inotropic scores, transaminases, elevated bilirubin and creatinine levels, and thrombocytopenia were associated with injury

Laboratory and clinical factors significantly associated with nerve injury

Laboratory and clinical factors significantly associated with nerve injury

This study demonstrates the importance of routine neuroimaging after ECMO for early identification of injury and provides an opportunity for timely neurocognitive rehabilitation
.
Including MR examination of the brain after ECMO as a routine examination will reveal more lesions
.
A unified approach to image analysis is important to help patients make predictions before discharge
.

This study demonstrates the importance of routine neuroimaging after ECMO for early identification of injury and provides an opportunity for timely neurocognitive rehabilitation
.
Including MR examination of the brain after ECMO as a routine examination will reveal more lesions
.
A unified approach to image analysis is important to help patients make predictions before discharge
.
This study demonstrates the importance of routine neuroimaging after ECMO for early identification of injury and provides an opportunity for timely neurocognitive rehabilitation
.
Including MR examination of the brain after ECMO as a routine examination will reveal more lesions
.
A unified approach to image analysis is important to help patients make predictions before discharge
.

 original source

 original source

Farhat A, Li X, Huet B, Tweed J, Morriss MC, Raman L.
Routine Neuroimaging: Understanding Brain Injury in Pediatric Extracorporeal Membrane Oxygenation.
  Crit Care Med .
2022;50(3):480-490.
doi:10.
1097/CCM .
0000000000005308

Farhat A, Li X, Huet B, Tweed J, Morriss MC, Raman L.
Routine Neuroimaging: Understanding Brain Injury in Pediatric Extracorporeal Membrane Oxygenation.
  Crit Care Med .
2022;50(3):480-490.
doi:10.
1097/CCM .
0000000000005308 Farhat A, Li X, Huet B, Tweed J, Morriss MC, Raman L.
Routine Neuroimaging: Understanding Brain Injury in Pediatric Extracorporeal Membrane Oxygenation.
  Crit Care Med Comments Here